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Home My WebLink AboutMIS95-0777 Gas Stove - MIS Permit / Conditions - 9/29/1995 MASON COUNTY ii Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I f3 C; F:: t- L. ^ N F 0 1LJ� P E n M I TT FOR INSPECTIONS CALL 427-9670 MIS95-077.1 PARCFL. :3221325051028 PLAT -,IJNPI-0 51 1) 1 V .- BL'y 51 Lot ! JOB ADDRESSi F 220 5TH ST UNION APPLICANT : WARREN HUNDRIKSON (360)898-.,8249 OWNER : WARREN HENDRIKSON ( 360)899-.-8248 LEGAL - UNION HOOD CARAI I AND A IMP CO 819: 51 101 28-32 PROJFCT DF6GRIPTION , Gass stove , PROJECT LOCATION - Brockdale to McGreavv , Left at 5th Street . PROJECT NOTFS : TYPE AMOUNJ BY DATE REer I P*I' MCFE $ 12 .00 K"S 09/29/95 40384 MCBS $ 15 .00 KkS 09129195 40384 TOTAL : 27 .00 OWNER OR AGENT DATE Nis fRIT. few! 60011921 COMPLIANCE TO ATTACHED CONDITIONS IS RrQU I RUD CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping q date b Foundation Walls dat (,c r�am " "L Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by ----------------------- -- MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P F VA t.4 I J- C C3 N D I -T 1 0 U Case No MIS95-0777 For ; WARREN HENDRIKSON Page ; I 1 ) The owner shall havo available on site for inspection by Mason County, a report Indicating the name and license number of the installer , the amount of pressure at the time of testinq and the length of lost time . This report shall be signed by the person conducting the test . X 2 ) It the tank size is between 125 and 500 gallonf3 you must follow these guidelines : 1 . Tank is to be 10 feet from any buldling, publio way or property line . 2 . If the tank is exposed to probable vehicular damage, provide proteotive bollards . 3 . All weeds , grass, brush , trash and other combustible material /Shall be kept a minimum of 10 feet away from LID containers . X 3 ) Proposed structure or any portion thereof greater than 30" In height from grade line, must maintain a minimum (if 5 ' setback from all property linfas , easements and right of way s . CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by i I I Permit No • MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT #1 Ownej 3Z nr 4 r f Phone# � ' Site Address v .J -i4 City ` iz.' :'ll St I Zip el 5 11 Z. Directions to Job Site f s c-k A H L :- zZA y l ZE F; A i 52,y T Owner Mailing Address City St Zip Lien/Title Holder Address 1 City St Zip #2 Contractor Name Contractor Reg. # Address Expiration date City St Zip Phone Parcel No. j Z Legal Description #4 Use of building Describe work #5 Type of Job: New Add Alt Repair Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. U[2a Fees _Showers Furn BTU _Hot Water Htr Heatpumps _Laundry Washer _ Vent Systems _Sinks _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP _Dishwasher No. Air Handling Units _Disposal cfm# _Urinals No. Other _Other lets Pellet Stove Permit Basic Fee 15.00 �oO TOTAL PLUMBING Permit Basic Fee 15.0$: � TOTAL MECHANICAL NOTICE: This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. Proof of continuation of work is by means of a progress inspection. NOTM tt i&6rmit application includes the placement of a fuel tank, heat pump or other unit to be located outside of the existing structures, a plot plan MUST be submitted as required below: Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc. l �0 l OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC- THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE AWARE OFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALLWORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALL BE MADEWITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING PARTMENT. DEPARTMENT. OWNER i Q X BY DATE / �� DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: Dater Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: